Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $3,187.61 / $3,187.61	Professional		$637.42	$3,187.61	$3,187.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.57 / $2,020.54 / $2,965.31	Professional		$1,598.57	$2,020.54	$2,965.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.42 / $3,187.61 / $4,462.64	Facility		$637.42	$3,187.61	$4,462.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.15 / $1,987.38 / $4,034.56	Professional		$1,656.15	$1,987.38	$4,034.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,202.50 / $3,143.30 / $3,909.40	Professional		$2,202.50	$3,143.30	$3,909.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.42 / $3,187.61 / $4,462.64	Facility		$637.42	$3,187.61	$4,462.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $963.97 / $3,013.50 / $3,909.40	Professional		$963.97	$3,013.50	$3,909.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.44 / $2,828.77 / $3,556.17	Professional		$1,616.44	$2,828.77	$3,556.17